Lazin, Jamie

Lazin, Jamie is an sole proprietor health care provider with primary practice located at 11 E 58Th St , Indianapolis IN 46220-2519. He recently has only one registered license in Dental Providers / Orthodontics and Dentofacial Orthopedics, which is considered as his primary health care specialty. Lazin, Jamie can be contacted via phone (404) 931-1576.

Contact Information

Primary practice address
11 E 58Th St Indianapolis IN 46220-2519
Phone: (404) 931-1576
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Orthodontics and Dentofacial Orthopedics 1223X0400X 12012549A Indiana

Profile Details

NPI number 1043661028
LBN Legal business name Lazin, Jamie
Credentials DMD, MS, MSD
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 30th, 2016
Last updated Jun 30th, 2016 - about 10 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1043661028 NPPES
Indiana Other 1201549A DENTAL LICENSE

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